An address to British females on the moral management of pregnancy and labour, and some cursory observations on medical deportment : $b Suggested by the death of Her Royal Highness Princess Charlotte Augusta of Wales: with a vindication of Her Royal Highness's physicians, Sir Richard Croft, Dr. Baillie, and Dr. SimsCooke, William
History
An address to British females on the moral management of pregnancy and labour, and some cursory observations on medical deportment : $b Suggested by the death of Her Royal Highness Princess Charlotte Augusta of Wales: with a vindication of Her Royal Highness's physicians, Sir Richard Croft, Dr. Baillie, and Dr. Sims
Cooke, William
Baillie, Matthew, 1761-1823; Charlotte Augusta, Princess of Great Britain, 1796-1817 -- Death and burial; Croft, Richard, Sir, 1762-1818; Labor (Obstetrics); Obstetrics; Pregnancy -- Complications; Prenatal care; Sims, John, 1749-1831
After labor, quietude is the chief subsidiary; but some regard must
be had to the state of the patient. The sudden transition from
long-suffering to almost entire case, produces a striking moral effect,
and effusions of grateful expression generally succeed. The stimulus
of distension and pain, being withdrawn, a great degree of faintness
often supervenes. The administration of a small quantity of brandy
or wine in some gruel, is highly proper where this happens in any
threatening degree―but should only be continued till that sensation
is removed. Some ether in camphorated mixture, we have often seen very
speedily remove the faintness and agitation which succeed delivery.
Soon there is an adaptation to the change―the functions regain their
accustomed office―the palpitation of the heart subsides―the pulse,
which might have been fluttering and intermitting, becomes regular,
though still quick and full. Stimulant substances must be entirely
withdrawn, and gruel, or other simple articles of nutrition must be
substituted.
Often, early after labor, pain and throbbing in the head, aversion to
light and sound arise; attended sometimes with a quick, at others, a
very slow pulse; the latter, indicating a great degree of congestion,
or accumulation of blood in the head. In this case, medical advice
ought to be promptly solicited, especially if it has not subsided by a
gentle aperient―as castor oil. Powerful doses of purging medicine will
become necessary; and, perhaps, bleeding from the arm, or leeches to
the temples, may be required.
Whenever the body becomes sore and painful, especially if it be
attended with suppression of the discharge, constipated bowels, and
fever, no time should be lost in demanding medical assistance.
In child-bed fever, early and free employment of bleeding and purging,
with strict attention to low diet, will almost universally succeed.
In reference to the child, where there is no disease, the chief object
of attention should be, to secure it against unnecessary exposure. Too
much washing at first may be pernicious; and the practice of using
spirits in these ablutions, merits reprobation. By the celerity of
their evaporation, they produce a degree of cold much more intense than
would be produced by the application of cold water, which would be
universally condemned.
It would be totally incompatible with a small pamphlet, and with this
extemporaneous address, to trace and delineate all the varieties of
child-birth. Yet, we think enough has been suggested to secure as
much safety in the time of parturition, as is attainable amidst the
uncertainties of human life.
Perhaps, however, it is not proper to overlook some peculiarities in
premature birth.
Abortion or miscarriage, which usually is accidental, sometimes
becomes habitual; and at about the same period of conception, on many
successive occasions, this disappointment will happen.
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